Individual
KEELY S GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-2339
(206) 860-5469
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-2339
(206) 860-5469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60052973
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174769293
REGENCE
WA
05
—
1174769293
—
WA
Enumeration date
12/18/2008
Last updated
02/22/2016
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